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目的：分析并研究手术治疗高龄食管癌患者的预后相关因素,为制定有效的治疗方案提供可行依据。方法选取我院在2007年4月~2010年9月收治的98例高龄食管癌患者作为研究对象,所有患者的临床资料进行回顾性分析,随访所有患者,调查所有患者的3年生存率和5年生存率,分析各类因素对患者生存率的影响。结果本研究组患者的3年生存率为20.41%,5年生存率为11.22%,而患者的术前放化疗、病理分期、术后化疗、肿瘤的部位和术前合并症状等对患者预后具有较大的影响,前三者为患者独立预后因素。结论高龄食管癌患者采用手术治疗,需要重视术前、术后的综合治疗,对患者的术前合并症状进行控制,并适当进行针对性的放化疗治疗能够提升患者的生存率。“,”Objective Analysis of high neck factors related to prognosis of patients with esophageal Carcinoma, summarize effective clinical therapies. Methods Our hospital in April 2007 from September 98 cases of elderly patients with esophageal cancer who were treated as object of study, analysis of clinical data of all, 3-year and 3-year survival rate of patients.Results 3-year survival rate for patients with 20.41%, the 5-year survival rate was 11.22%, preoperative pathological staging and postoperative chemotherapy and radiotherapy, tumor location, preoperative complications on prognosis of patients have a greater impact, the first three are independent.Conclusion Surgical treatment of elderly patients with esophageal cancer, needs to take before and after the treatment.